Eliza Joachim, LMHC
Individual provider Active NPI Mental Health Counselor · Loxahatchee, FL
NPI 1740945609 · NPPES record last updated Feb 26, 2024
Key facts
- NPI
- 1740945609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- IMH21018 (FL)
- Practice address
- 17817 Valencia Blvd
Loxahatchee, FL 33470-2653 - Phone
- (954) 257-7807
- NPI assigned
- Nov 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH21018 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical Providers PC | Single Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | IMH21018 | FL | Yes |
Addresses
Primary practice location
17817 Valencia Blvd
Loxahatchee, FL 33470-2653
Mailing address
17817 Valencia Blvd
Loxahatchee, FL 33470-2653
Phone (954) 257-7807
Other providers in Loxahatchee, FL
- Jeune&Belle Medical Center and Spa
- Jfi Sports Medicine, LLC
- Jacqueline Jimenez-Ramos
- Hee Jin
- JMR Therapy Inc
- Samuel Johnson
- Sharon Deloris Elease Johnson
- Lugdie Marguerite Jonassaint
- Lana Jones
- Eric Austin Jorge
All providers in Loxahatchee, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.